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Internal mammary artery perforator-based plug flap.
Nello Pirozzi1, Nicola Rocco2, Maurizio Bruno Nava3
1Breast Unit, University of Naples Federico II, Naples, Italy.
International Journal of Surgery Case Reports
|November 12, 2024
Summary
This study highlights the internal mammary artery perforator (IMAP) flap for breast reconstruction. This technique effectively addresses defects from tumor excision, ensuring excellent cosmetic outcomes.
Area of Science:
- Oncoplastic surgery
- Breast reconstruction techniques
Background:
- Oncoplastic surgery aims to preserve breast appearance and symmetry post-tumor removal.
- Fascio-cutaneous pedicled chest wall perforator flaps (CWPF) are emerging techniques for breast volume replacement.
Observation:
- A 52-year-old woman presented with a 3 cm tumor in the infero-medial quadrant of her right breast, close to the skin with retraction.
- The patient had small, round breasts without ptosis.
Findings:
- Reconstruction was performed using an internal mammary artery perforator (IMAP)-based plug flap to address the infero-medial defect.
- The IMAP flap served as an ideal donor site for reconstruction when skin removal was necessary.
Implications:
- The IMAP flap offers a safe and well-vascularized option for breast reconstruction.
- This technique provides a favorable cosmetic result in oncoplastic breast surgery, particularly for infero-medial defects requiring skin excision.
